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We all know we have to enhance our conventional institution process, either private and non-private. yet how? extra homework? Better-qualified lecturers? Longer institution days or tuition years? extra trying out? extra investment? No, no, no, no, and no. Montessori insanity! explains why the incremental steps politicians and directors proceed to suggest are incremental steps within the mistaken course.
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Even some recent publications do not include the pediatrician as a work partner (Barker, 1974; Bettleheim, 1950; Blau and Slaff, 1964; Copus and Walker, 1972; Evangelakis, 1974; Stratas and Schmidt, 1960; Treffert, 1969). A descriptive study of the major existing residential centers for emotionally disturbed children (Reid and Hagar, 1952), presented a very disturbing picture. Most of the centers did not have a pediatrician on staff. Most used locally available medical facilities for acute and chronic care of their patients.
At the same time he or she has to provide direction and an overall frame of reference. The organization and structure of the unit is dynamic and not static. The psychiatrist in charge needs to be flexible in order to be able to implement necessary adaptations in the program. In fact, there are constant adaptations and improvements. On the other hand, the psychiatrist in charge needs to respond to contagious group anxiety and "pseudo problems requiring change" not by implementing the requested change but by supportive intervention with the staff, discouraging emotional discussions of interpersonal staff issues, and redirection of staff energies (Gruber, 1977).
They provide developmental norms and refined assessments of specific psycholinguistic functions. Receptive language, expressive language, associative language, nonverbal language, articulation, fluency, voice patterns, and sentence structure are assessed within a developmental continuum. Children with language or speech problems receive an audiological evaluation because normal audition is a prerequisite to language development. A formal evaluation of the child's linguistic competence can provide a clue as to whether deficits are organic or psychogenic in origin.